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2006, 12-05 Permit App: 06004734 Residenceb Permit Center jj ( 1 C Ijj' \v7 Sijokane 11707E Sprague Ave, Suite 106 Vallev Spokane Valley, WA 99206 J (509)688 -0036 FAX: (509)688 -0037 LULL Ji/) OS Community Development wWw.spokanevalley.ora.co„1 Residential Construction Permit Application PERMIT NUMBER: `-1 73`/ PERMIT FEE: ifl 11 J) [I { VNew Construction ❑ Accessory Bldg g ❑ Addition/Remodel ❑ Deck ❑ Other: SITE ADDRESS 4-// ,1/ gee- o ee,-r/ RC✓ G�/ ��1o?f6w n n c.r\ ASSESSORS PARCEL NO: 11502 2. (04 l71/4.3 LEGAL DESCRIPTION: Building owner u c--t% Name: Q 44-1 et-0i yLG-L1 / K 0 L-/ Address: 3L%,2 9 f..;23`"-s 2"" FLOOR SQ. FTG: City: , <% v he. ,44,e Zip: 9'223 Phone: % Fax: Exp. Date: Contact Person :. Name: 7c vrr cc,• 4. a�) !� O 4, Phone: (5—o40 8o - a?-7/9 Describe the scope of work in detail: C; b, /' Jt VeS/ C / / tireC Contractor u c--t% Name: TOTAL HABITABLE SPACE: /? / r ' Address: 2"" FLOOR SQ. FTG: City: Zip: Phone: Fax: Lic No: Exp. Date: City Business Lic No: CONSTRUCTION TYPE: Cost of Project: $ /SO, DoO * * * * * * * * * * * ** *The following MUST be complete: (write N/A if not annlicable ) * * * * * * * * * * * * * * * * * * * * ** HEIGHT TO PEAK: 1' -�tt DIMENSIOP S: s8' x , 6 # OF STORIES' / ,fz, ,�e,�tlud.- TOTAL HABITABLE SPACE: /? / r ' MAIN FLOOR TO SQ. FTG: / a// S i� 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: 6�QSA- IMPERVIOUSSURFACE AREA: FINISHED BASEMENT SQ. FTG: /V /,4 GARA SQ. FTG: or 4 " /C'57 1/ D C COV. PATIO SQ. FTG: '9/'i Sy -�,,,1 30% SLOPES ON PROPERTY: / /�fi # OF BEDROOMS: CONSTRUCTION TYPE: HEAT SO RCE: SEWER OR SEPTIC? The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the dwelling is /will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. Signature vy� ��•r, Date Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN #: Authorized Signature: REVISED 6/252005 ❑ Other Permit Center pokm ,r ane 11707 E Sprague Ave, Suite 106 �,,f Valley Spokane Valley, WA 99206 (509)688 -0036 FAX: (509)688 -0037 Community Development www spokanevallev.ore Plumbing Permit Application Commercial I PERMIT NUMBER: PERMIT FEE: Residential SITE ADDRESS: 277# /V Re„-,‘,„ 1 rf-,7/6 Building Owner Name: //c, ,„1.1 Gam, _c4 4' V Phone: Fax: Address: 3z4) 9 g ,22 ..-e".,„,, City: 4,� 4 G ,,, State: wA Zip: .7,�j„7a3 Contractor C)1.c -6-ae- Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact /% l�iLc, yam„ A ct--- Name: Phone: r77 8 0 --- V — DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6.00 2 URINALS X $6.00 3 TUBS 2 X $6.00 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT 1 X $6.00 5 SINKS LAVS /BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X -RAY, FOOD, PREP /CULINARY MEAT X $6.00 6 DISHWASHER X $6.00 7 CLOTHES WASHER I X $6.00 8 GARBAGE DISPOSAL $6.00 9 WATER SOFTENER X $6.00 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 12 ROOF DRAINS /OVERFLOW DRAINS X $6.00 13 FOUNTAINS, DRINKING X $6.00 14 WATER PIPING /DRAIN -IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6.00 16 WATER USING DEVICE ICE AN /OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X $6.00 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R. P. B.P.D. FOR: VATS, TANKS, BOILERS X $6.00 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 METHOD OF PAYMENT/ ❑CASH I=1 CHECK 0 VISA ❑ MC EXPIRES: Card# VIN: AUTHORIZED SIGNATURE: REVISED 8/26/05 SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: Project Number: 06004734 Inv: 1 Application Date: 12/5/2006 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SINGLE FAMILY RESIDENCE- SEPTIC Setbacks: Front 95 Left: 5 Right: 5 Rear: 87 Site Information: Plat Key: Name: Range Contact: YUNIKOV, ROMAN S Address: 4711 N BANNEN RD C - S - Z: SPOKANE VALLEY, WA 99216 Phone: (509) 000 -0000 Group Name: Project Name: A District: East Parcel Number: 45022.6203 SiteAddress: 4711 N BANNEN RD Location:: CSV Block: Lot: Owner: Name: YUNIKOV, ROMAN S Address: 4711 N BANNEN RD SPOKANE VALLEY, WA 99216 Zoning: UR -3.5 Urban Residential 3.5 Water District: 001 TRENTWOOD Hold: ❑ Area: .42 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Released By: Septic Sys Review .r 4 121 i zA o to i Released By: Landuse /Zoning/HE Conditions Permits: Released By: Contractor: OWNER Contractor: OWNER Building Permit Firm: OWNER Phone: (000) 000 -0000 Mechanical Permit Firm: OWNER Phone: (000) 000 -0000 Operator: jmm Printed By: jmm Print Date: 12/5/2006 M,aF 23 2007 13:42 FR COSU PERMIT CENTER project Nun b :r: 06004734 Inv: ,1 5096880037 TO 3241567 P.01 /06 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/23/2007 Page 1 of 2 Proiect 1 o ration: Permit Une: !TINGLE FAMILY RESIDENCE- SEPTIC Setbacks: Font 95 Left: 5 Right 5 Rear: 87 Site Inforn si ition: Plat Kt y Pai ce l \lumber: 45022.6203 :ii:eAddress: 4711 N BANNEN RD Contact: YUNIKOV, ROMAN S Address: 4711 N BANNEN RD C - S - Z: SPOKANE VALLEY, WA 99216 Phone: (509) 000 -0000 Group Name: Project Name: Name: Range Block: Location :: CSV Zoning: UR -3.5 Urban Residential 3.5 Water District: 001 TRENTWOOD Hold: ❑ Area: .42 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Ii f n oration: Lot: District: East Owner: Name: YUNIKOV, ROMAN S Address: 4711 N BANNEN RD SPOKANE VALLEY, WA 99216 Revi!ty Built li ag Plan Review Seat c Sys Review Originally Released: 12/6/2006 By: TMELBOU Swinge system de. ; - 1 fDr a r L. ; :: r ur,: 3 beqt, r Toni;, of_.. (0.�G..gal:ons per pad UPANCylyap1 +trIQWED:r,: .a + rriti6t has SRHL) approval. Lan( use /Zoning/HE Conditions ti. •iii Permits. ,s. Originally Released: 12/6/2006 By: SKUBTA Opel at )1. j mm Printed By: JD Print Date: 3/23/2007 Project Number: 06004734 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/23/2007 Page 1 of 2 Project Information: Permit Use: SINGLE FAMILY RESIDENCE- SEPTIC Setbacks: Front 95 Left: 5 Right: 5 Rear: 87 Site Information: Plat Key: Name: Range Contact: YUNIKOV, ROMAN S Address: 4711 N BANNEN RD C - S - Z: SPOKANE VALLEY, WA 99216 Phone: (509) 000 -0000 Group Name: Project Name: Parcel Number: 45022.6203 Block: SiteAddress: 4711 N BANNEN RD Location:: CSV Zoning: UR -3.5 Urban Residential 3.5 Water District: 001 TRENTWOOD Area: .42 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Lot: District: East Owner: Name: YUNIKOV, ROMAN S Address: 4711 N BANNEN RD SPOKANE VALLEY, WA 99216 Hold: ❑ Review Information: Review Building Plan Review Septic Sys Review Released By: Originally Released: 12/6/2006 By: TMELBOU Released By: Landuse /Zoning/HE Conditions Released By: IVu02_S 5 wt. u S e Pa se F (GL Permits: c Originally Released: 12/6/2006 By: SKUHTA ? clTS - 6A-\ C: -cog -O Operator: jmm Printed By: JD Print Date: 3/23/2007 12/12/2006 11:06 5093241567 DI :C 12 2006 08:39 FR COSU PERMIT CENTER SRHD EHS 509688003? TO 3241567 P.01/22 PAGE 01 Project Nu rri x r: 06004734 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 12/5/2006 Page 1 of 2 frolect h t a�n lion:_ Permit Use: SINGLE FAMILY RESIDENCE - SEPTIC Contact: YUNIKOV, ROMAN S Address: 4711 N BANNEN RD C - S - Z: SPOKANE VALLEY, WA 99216 Phone: (509) 000 -0000 5etback::: Front ont 95 Left 5 Right 5 Roar: 87 ( ) Group Name: Project Name: District: East Plat Name: Range Parse Nurn)er: 45022.6203 Block_ Lot: eAddrees: 4711 N BANNEN RD Owner: Name: YUNIKOV, ROMAN S 4711 Address: 4711 N BANNEN RD SPOKANE VALLEY, WA 99216 Location :: CSV Zoning: UR -3.5 Urban Residential 3 -5 Water District: 001 TRENTWOOD Hold: ❑ Area: .42 Acres Width: 0 Depth 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwrllings: 0 dew I41 trligkqt: Relk Built:i tg Plan Review Septic Sys Review CS0,11 • • La tic u se/Zoning/HE Conditions ,. 1 1.'64 Panels- Immormwacwww Contrac' :ot : OWNER Cont tcc. or . OWNER Ope -at )2; jnun DEC 12 2006 11: 00 Printed By: jmm Buildieg Permit Firm: OWNER Phone: (000) 000 -0000 Mechankal Permit Firm: OWNER Phone: (000) 000 -0000 Print Date: 12/5/2006 5093241567 PAGE.01 Project Number: 06004734 Penalties Contractor: OWNER Inv: 1 Application THIS IS NOT A PERMIT will be assessed for commencing work without a permit Date: 3/23/2007 Description Gtr Type 1 &2 FAMILY R -3 VB BASEMENT U R -3 VB DECK OPEN R -3 VB GARAGE U -1 VB Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT Notes Contractor: OWNER Contractor: OWNER Notes: Building Permit Firm: OWNER Phone: (000) 000 -0000 This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 1,721 $148,642.77 1,721 $148,642.77 1,690 $25,350.00 1,690 $25,350.00 414 $6,210.00 414 $6,210.00 440 $8,360.00 440 $8,360.00 Page 2 of 2 Totals: 4,265 $188,562.77 4,265 $188,562.77 Units Unit Desc Fee Amount 1 SELECT $1,492.15 1 SELECT $4.50 1 SELECT $596.86 Permit Total Fees: Mechanical Permit $2,093.51 Firm: OWNER Phone: (000) 000 -0000 Plumbing Permit Firm: OWNER Phone: (000) 000 -0000 Payment Summary ...� :.... gip,:. ,,,, ff Permit Type Building Permit Fee Amount $2,093.51 $2,093.51 Invoice Amount $2,093.51 $2,093.51 Amount Paid $0.00 Amount Owing $2,093.51 $0.00 $2,093.51 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and /or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: JD Print Date: 3/23/2007 iy 7// A/ c?..14 n_ct, Lep 04/12/2007 13:55 5093241567 March 26, 2007 Roman Yunikov 4711 N Bannen Road 99216 Spokane Valley WA SRHD EHS PAGE 01 SPOKANE • REGIONAL LT H D I S T R I C T 1101 West College Avenue Spokane, WA 99201 -2095 509.324.1500 TEL 509.324.1464 TUU www.SRHD.org • E ,��'� FOLL � WING FO' � TION CAREFULLY. NOT HIS IS NOT A PERMIT. ' L IN SPOKANE COUNTY, WASHINGTON RE: SEWAGE DISPOSAL REPORT FOR PARCEL NUMBER 45022.6203 APPLICATION # Or�045 'es'dentia ADDRESS: 4 3 I'ne oa SITE EVALUATION DATE:_Mar ch 23, 2007 Sewage stems, under the Spokane Regional Health District Rules and au Regulations at the On-Site ova location, Syst msncy As required 2003, Sd P a SRHD has completed a site March 2003, Section 1.04,220 (2)( )� subznifted by your Licensed Design Professional for the has reviewed the proposed OSS preliminary desi � desi n to be acceptable. Contact your design above referenced project. We have found the prelimtnary g professional for any additional soil / design requirements which may apply. The following information is required before our office can issue the septic permit. DESIGN REVIEW your licensed design design must be submitted your designer. please Two complete copies of for re iew. e se design symus include tetesthole data generated by yo desi ner.uPlease professional to our office for review. The des gn of their time. doing allow several days for our review, as our health specialist spend a majority t the additional fees of g.L for installation permit with designer inspection. [) Submit Tanning department to ro c._t' you must contact our local building and planning including the NOTE: Before proceeding with your p 3 "r your your property determine if Critical Areas Ordinance, Flood Zone, etc. could imp; on -situ sewage system. . T ' OF I EISRES 1' 'DP' ORTOPE' REVIEW OFOORbIATION:� • ED O `� A ,E SYST Z • E' T �e B�,DYI\!G AP • * • V L LEASE CA1�rNOT B IS IJANCE YO ' FEES APR 12 2007 14:52 5093241567 PAGE.01 04/12/2007 13:55 5093241567 ,sinan Yunikov ,Page 2 App #07-9045 March 26, 2007 SRHD EHS FINA IZED UNTIL S W AS BEEN 0..:4i;LISH-ED BY AP ROP • TE ALTH SPECIALIST, Your application is valittf6ipneieir from the appli5atiOn date of March 22, 2007. If the above items are not aeOornplished within that tirithieriOd;: the applicatiiiii*tft be lvoided. The application can be renewed one time foi.: a $100.00 fee ir accOiriplistied*tiiiii 2 years of the oriiiniliPPliCatiOn date. For safety reasons, please fill in the testboles if additional iiiiii0finiksjare not required: , •,: ;::: • Please contact the at (509):3144$8. if you have any qUeStiOtis concerning your project: • • , Sincerely, 7 • ENVIRONMENTAL HEA411-1:DIVISION PAGE 02 Wilfred D Little LU E vironmental Health Specialist II C: J. R. Bonnett 206-rrvd Little / Yunikov / paw. 206 revised 11-7-06 ..• SPOKANE H • REGIONAL LT H D I S T R I C T APPLICATION FOR ON -SITE SEWAGE SYSTEM Client Copy Environmental Health Division 1101 West College Avenue Spokane, WA 99201 -2095 Application N 07 -9045 Area Tract: M Date of Application: 03/22/2006 Daily Inspection Announcemen- 324 -1581 Inspection Call In: 324 -1560 Site Address /Legal Description of Property/Town: Parcel #: Lot /Block /Subdivison Property Size: 4711 N BANNEN ROAD SPOKANE VALLEY 45022.6203 L 3 B .42 ACRES Legal Owner of Property: ROMAN YUNIKOV SP93 -871 Owner Address: Owner Phone: 4711 N BANNEN ROAD (509) 251 -3317 SPOKANE VALLEY, WA 99216 Property Use: Single Family Residence No. of Bedrooms: 3 Additional bedrooms wiil require a larger system New System: Yes What is proposed? Septic Tank No. 1 Size: Source of Water: Public Water System: CONSOLIDATED Replacement /Alteration: No Public sewer svc area? No Property Located In: PSSA /Inside ASA Contact: ROMAN YUNIKOV Phone No.(s) (509) 251 -3317 Signature of Authorized Representative: Mail Correspondence to: 4711 N BANNEN ROAD SPOKANE VALLEY WA 99216 ATTACHED PLOT PLAN DESIGNED BY: J.R. BONNETT (509) 534 -3929 Inspection Call -In Dates Testholes Partial Final Reinspection Exposure Other Followup Date 02/19/2008 You may use this Call -In Dates section to track when you called our office for inspections. A proposed plot plan is to accompany this application, along with any other pertinent information, such as legal description of property. This application and permit approval is contingent upon meeting requirements set forth in the SPOKANE COUNTY RULES AND REGULATIONS FOR ON -SITE SEWAGE SYSTEMS. Approval is based on the accuracy of the information supplied by the applicant. If you are dissatisfied with the decision of the Health District, you may APPEAL to the Health Officer within TEN (10) DAYS of denial of this application (see APPEAL PROCEDURE). January 8, 2007 J.R. BONNETT ENGINEERING C i v i l & S t r u c t u r a l C o n s u l t i n g .& D e s i g n 803 E. 3rd Ave. Spokane, WA 99202 509.534.3929 Voice • 509.534.4014 Fax Spokane Regional Health District 1101 W College, Suite 402 Spokane, WA 99201 -2095 Attn: Lance Halsey Re: Septic System Design for New Home @: 4711 N. Banner Road — Parcel # 45022.6203 Dear Mr. Halsey, J.R. Bonnett Engineering has been retained by Roman Yunikov (property owner) to design the onsite septic system as required at the above home site. We have conducted a survey of the site and we have determined that the site and soils are suitable for the installation of a conventional septic system with a soil loading rate of 0.60. Complete construction drawings and design calculations will be provided as soon as our schedule permits. If you have any questions regarding this matter, please contact this office. Thank you. Sincerely, J. R. BONNETT ENGINEERING Matt his Encl. PROJECT LOCATION: PARCEL # 45022.6203 4711 N. BANNEN ROAD SPOKANE VALLEY, WASHINGTON TESTHOLE DATA (INSPECTED BY JRBE 12/21/06) TESTHOLE 41- 0 -18 INCHES, LOAM / TOP SOIL 18 -36 INCHES, SANDY LOAM WITH GRAVEL 36 -72 INCHES, SANDY LOAM W/ MIXED SANDS AND GRAVEL (SLR .60) TESTHOLE 42- 0 -24 INCHES, LOAM / TOP SOIL 24 -36 INCHES, SANDY LOAM WITH GRAVEL 36 -72 INCHES, SANDY LOAM W/ MIXED SANDS AND GRAVEL (SLR .60) TESTHOLE 43- SIMILAR TO TESTHOLE #1 TESTHOLE 14- SIMILAR TO TESTHOLE #1 TESTHOLE g5- SIMILAR TO TESTHOLE 1 * WATER LINE DRIVEWAY NOTE: CONTRACTOR TO MAINTAIN 100' MIN. DISTANCE FROM ANY WELL(S) TO DRAINFIELD. CONTRACTOR TO VERIFY. NOTE: CONTRACTOR TO MAINTAIN 10' MIN. DISTANCE FROM WATERLINE TO SEPTIC TANK, BUILDING SEWER, AND DISPOSAL AREA. NOTE: CONTRACTOR TO MAINTAIN 50' MIN. DISTANCE FROM SEPTIC TANK TO ANY WELL(S). CONTRACTOR TO VERIFY. PROPERTY LINE APPROX. 228.16' PROPOSED LOCATION 3- BEDROOM HOUSE. PROPERTY LINE APPROX. 228.16 5 MIN. EXPIRES 10/03/08 —n I II II II O 12' TYP. n T9 u u 11 _u PRELIMINARY SITE PLAN 1' = 40' 5' MIN. J.R. B ONNETT ENGINEERING CIVIL AND STRUCTURAL CONSULTING AND DESIGN lq 803 E. 390 AVENUE SPOKANE, WASHINGTON 99202 (509) 534 -3929 / FAX (509) 534 -4014 YUNIKOV PROPERTY PRELIMINARY SOILS DATA JRBE JOB #: 06- 232.10 DATE: 1/9/07 Page 1 of 1 http://sirius/mox5/index.cfm?action=mox5_broker imagestream&stream_id=8EF3C5B5-1422-1D19-1... 03/26/2007 WELLESLEY v '7 Cd> ,S'6fl02 6 ,9L'6002 N1f1QS .00'99T - 7-Z7_ 3.00.0040s W ICIC z O J vi a © u� %Q �W! ~Z En _ ... •-,OI I ,91 L.._ a es g ,00 re .00'991 — 0 0 XITOCC 3 000.00.00 S 0 cis w X co N ` U CO ++ C C OJ tn N 73 l.. X n, >O I N..L • O ,00.08 in -I CD N N 19 Iz -- - — abdA 1��G IN3N3SV3 1.i :Tlfi tZ i5 GVD 31VAi d L 3NH"1 N3NNVE ,40'991 0 000 , DRAINAGE /UTILITY EASEMENT • 0 • V 1/5, TRACT 5